Director of Revenue Cycle Management

4 days ago

Ottawa, Canada Storm3 Full time

**Director/VP Revenue Cycle Management**

**Telemedicine Provider**

**Remote (United States)**

**Competitive Salary ($160,000-$180,000) + 20% bonus + Stock Options**

I am partnered with the fastest-growing telemedicine provider across the United States, who have grown by 100% YoY over the past three years. This start-up are VC backed by Y-Combinator and on a mission to bring quality, delightful primary care to everyone on the planet.

They have coverage in over 30 states in USA, with a selection of more than 350+ active providers. They accept PPOP and HMO plans from Aetna, Anthem BC, Blue Shield, Cigna, UHG and many more

They are seeking their Founding VP/Director of Revenue Cycle Management to manage all the functions of the organisations medical billing and revenue cycle to maximise cash flow while maintaining and improving the internal/external health plan relations.

**Responsibilities**:

- Responsible for overseeing and managing the financial operations related to the revenue cycle which include the following:

- Develop and implement strategies to optimize revenue cycle and maximize revenue generation.
- Manage and lead revenue cycle team including Billing and coding manager, Patient billing manager.
- Ensuring compliance with all regulations and guidelines such as HIPAA and CMS billing requirements.
- Negotiate and maintain relationships with Commercial Payors to facilitate timely and accurate reimbursement.
- Monitor and Analyse KPIs related to revenue cycle performance such as days in AR, denial rates and cash collections.
- Manage EHR/Medical billing Partner, holding them accountable to contract obligations, and SLAs.
- Identifying and implementing process improvements to enhance efficiency and effectiveness in revenue cycle operations.
- Providing training and education to staff on revenue cycle processes, policies and procedures.
- Conducting regular audits to ensure accuracy of billing practices and no revenue leakage.
- Oversee Weekly billing processes, including reporting and account balancing.

**Requirements**:

- Knowledge and experience working with big commercial payers.
- Knowledge of professional fee billing, reimbursement, third-party payer regulation, and medical terminology is required.
- Working knowledge of regulatory requirements pertaining to health care operations and their impact on operations.
- Demonstrated coding and billing knowledge/experience preferred.
- Experience with the provider payor credentialing process.
- Proven track record with other startups or VC funded companies.
- Bachelor’s Degree in Business, Healthcare Administration or equivalent and a minimum of five (5) years of medical billing experience.
- The ability to coordinate and negotiate rates and contracts with commercial payers.
- Command of revenue cycle management principles, including working knowledge of cash posting processes, medical record guidelines, coding, and accounts receivable follow-up (e.g. HCPCS, CPT, ICD codes).
- Manager/supervisory experience is a big plus.

**Benefits**:

- Flexible vacation, eligibility after 90-days
- Plus 10 annual paid Holidays
- $500 annual education and development reimbursement
- Full medical/dental benefits, life & disability
- Wellness perks, including discounts for mental health programs and online wellness courses.

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